Unknown Individual – Clinical Social Worker, NPI 1306904479
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3912, Cedar Circle, Idlewood Acres, Tucker, DeKalb County, Georgia, 30084, United States
TUCKER, GA 300847339
Phone: (770) 414-9742
Type: Location
195, Pebble Trail, Surrey Place, Alpharetta, Fulton County, Georgia, 30004, United States
ALPHARETTA, GA 300041224
Phone: (678) 469-4683
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30084)
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